Individual
DOUGLAS WOLFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 S 193RD ST, OMAHA, NE 68130-3797
(531) 721-5836
Mailing address
1603 S 193RD ST, OMAHA, NE 68130-3797
(531) 721-5836
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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